Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lane Tupa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245060367

Lane Tupa is a Student in an Organized Health Care Education/Training Program in Jackson, Tennessee. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

700 W Forest Ave Fl 5
Jackson, TN 38301-3937
Phone: (731) 541-3755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1245060367
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address12100 Rainwood Rd Apt 38, Little Rock, AR 72212-3936

Other providers in Jackson